97-101968<' I l_Y 0 F F E D1 R6 L. W(AY
33.530 f i t -s t W iy �3ou t. t► O."A .,11'.'1 I C AL PERMIT
Federal We-iy, WF'► 920LI,t 661-4140
661 -4000
A1)1V,E=S5 : 3?11'5 401H PI., `.'W
NO.: 873195-0790
RROJU IT DEF: C_R IPT ION: HVAC - GAS TO GAS HNT REPLACEMENT.
OWNER.xm.._s
OTTO BUERGIR
32215 40TH Pl SW
FEDERAL NAY WA 98023
952-35]3
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ttt CONIKA(feRS, PLEASE USE
HERMIT NO: MEC97-0171.
IS',�>UC D: 06/05/97
133': FCC
LXPIRF'Ss: 12/01/97
CONTP,ACTOR .:x,.......3x.=r......: LENDER ....WaY.L as Y «OF 3awac9T a:': X'wL YCYA � fIIi:nwal� :iRS.�
NORTHWEST WATER HEATER
2506 10410 ST CT S, SUITE A
TACOMA WA 98444
`84.640;
4
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SALES TAX FOR PROJECTS 11111111 1N[ CITY OF FEDERAL WAY. TAX RATE : 8.25 ttt
:..G .-uacxx�.a:...axa'wir:.a cA. �.cma:zmar. Bs.z -A..:a x<si:4i ' :x45[ m a xG. x: T. �A,.,:941Sxi�1a5s ;;�L:iGaila .. .. . .M109y :....00. ........
PROJECT VALUATION 35(1
FUEL TYPES.:GAS ? FANS..... : 0 80) ERS�OMP id,
Mtk. PRAI tS JAHCE... $ 20.00
GAS PIPING.: 0 ft HOODS.. 0 0 ,� iTf'. " •• a . ,,r TiaAi �1 emit $ 22.00
FURN<1OOK..: 0 DUCT V Ili, ..,;_ G 3-" I' ..., 0
GAS HMT....: 1 NOUE.. `., vO, ... 0 t tI V, 0_
CONV BURNER: 0 f0N Of— 0 C' 50 T'z'., tt
BBQ......... 0 MISC., �R••«, i► f ND, .»... 0
"AS DRYER... 0 AIR NAN
RANGE......: 0 <:10,0 1T3OVE GEOUND: 0
GAS LOGS...: 0 > 10,000. 0 UNDERGROUND.: 0 TOTAL FEES S 42.00
�se"e�zwsa:aas¢,:-..�mrY :«:mcm2xmeamrse::..�acr.:nrxc.m.� .ram..x..;:s:�cas".¢�:aanacscsan:cwa.+^sau�x.:rvars: ;ae sm:rte.:.z-»arscasscrosmms:ca:rm;;;ecz_csmocs. :e'amwa¢9r cw+�c.ms: �ar..m:set:..::w^cnsx:m.�cr:xmw�sx:.:rs.^.-.�ima�R:wsmzaaa:csa=.as :-se;:s
Does the water supply system contain a Pressure Reduction Device or Cheek valve? {) Yes () No (If "Yes" then water expansion tank is required on Not Water Tank)
Inspection Record Water line OK ...... Mechanical Inspection Notes: .... "_Z_.�....__.._.._.
{ GAS PIPING OK . Dat¢ --... _._ BY
!.:................... sa�.�,�4'M"mibn oaa�C<esx.rlku.xsxcw.ra®zms......... maa m.zasrsanans:mzaxw:.:a:Cc:#x.rxapar.R, ...................
PERMITS EXPIRE lie DAYS A10 ISSUANCE If NO WK IS S(AR
I CERIIFY TWE iWF1wMAl1ON FUMWfSWED BY HE I5 TRUE AND Cjt
OWNER OR AGENT
( TI -111D GRADIIN� PERAII,, EXYIRF OWE YEAR AFTER DATE IN ISSUANCE.
NL ST Of NY RN011LOGE 0111 INE APPI.lQ L CITY,*...FEDLRAI MAY REQUIREMENTS WILL BE NEf.
/� ✓ /--f-
ChAT r
FIELD COPY
CDO193
.........
......................................................................... .
..........................................................................
..........................................................................
SE 9 cKS & ootwGS >'
Date By
7
FOUNDATION WALLS '
...
Date By
PLUMBING GROUNDWORK
Date By
7
_.....
......................... .
UNDERFLOOR FRAMING
Date By
SHIEAR WALLS
Date By
.................................
....................
PLUMBING ROUGH IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date By
7
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
7.........................................
............................................
.........................................
............................................
.........................................
GWB - 1 ST LAYER ......
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
7:
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date 3 _ 3 By
70THER
Date By
OTHER
Date By
CDO193
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
P1 Vim:: C ,y.,...� ���,,,,r, �° N :2� �.; �'�'r N.... lf',` E If"' P"I :"I ,,.N,,..
Building Inspection Requests 661-4140
ADDRESS:32215 40TH PL SW
NO.: 873196--0790
PROJECT DESCRIPTION: HVAC - GAS TO GAS NWT REPLACEMENT.
OWNER
OTTO BUERGER
32215 40TH PL SW
FEDERAL WAY WA 98023
952-3573
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<100K..: 0
GAS HWT....: 1
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
PERMIT NO: MEC97-0171
ISSUED: 06/05/97
BY: FC2
EXPIRES: 12/01/97
CONTRACTOR=_________________________=_________________-- LENDER
NORTHWEST WATER HEATER I
E 2506 104TH ST CT S, SUITE A
TACOMA WA 98444
s �
984-6404
NORTHWH103R2
3
-------------
;=i CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 sts
350
? FANS........... 0
ft HOOD..........: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC........... 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
FEES: 11
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP...... 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP— ..... 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
MEC PRMT ISSUANCE... $ 20.00
Mechanical Permit* $ 22.00 u
TOTAL FEES
$ 42.00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK
GAS PIPING OK
Mechanical Inspection Notes:
Date ______ By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS ST
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND C
OWNER OR AGENT
PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
GE AND THE APPLIC E CITY EDERAL WAY REQUIREMENTS WILL BE MET.
DAT
L'��
FILE COPY
crrr of �-
• F�
rib 1A
APPLICATION
c,►►`+ u► O NG D�P� P
e�
PARCEL # v72) q S�
SITE LOCATION
Bun,DiNG DIVISION
33530 First Way South a
Federal Way, WA 98003
(206) 6614000
Fax(206)661-4129
FOR MECHANICAL PERMIT
MECC3 - 0 J q 1
Single Family Q Multi -Family ❑ Commercial ❑
Tenant/Ownery (D Phone
Address/City/State/Zip 46 PL
Nature of Work -(��- t L�o 1 n C E Project Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
Fax
Contact Person f _-q N� �A ' `(� l < + �7-: Phone 2 -S? --4 �C�C�I Fax
State L &I Contractor Registration #°1G n t�Exp. Date
(Card mast be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfin
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10 000cfin
Above Ground
Fum <100K BTUs
GasLog
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
DISCLAIMER: I certify, under penaltyof perjury, that the information fumished by me is true and correct to the best of my knowledge and further that I am authorized by the owner of the above premises to perform the work
for which permit application is made. I fuRher agree to save harmless the City of Federal Way as to any c eluding costs, a ,and attomeys' fees incurred in investigation and defense of such clam), which maybe
made by any person, including the undersigned, and filed against the City of Federay Way but
9 rere such c ris of th reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application. "
Owner/Agent 1nr MVV 1 � ��// 1� Date
Mrcamm 1.A 111 `� k6 U - /
Revrs2/11/96 V. I� , '